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Individual
MS. LYDIA HEEEUN DOUBLESTEIN
Active
Individual
MS. LYDIA HEEEUN DOUBLESTEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CM, IBCLC
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
174N00000X
Lactation Consultant (Non-RN)
L-159665
—
367A00000X
Advanced Practice Midwife
001802
NY
Other
Enumeration date
08/15/2017
Last updated
02/17/2022
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